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Biostatistics

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EXERCISES 255<br />

7.4.1 Ellen Davis Jones (A-15) studied the effects of reminiscence therapy for older women with<br />

depression. She studied 15 women 60 years or older residing for 3 months or longer in an assisted<br />

living long-term care facility. For this study, depression was measured by the Geriatric Depression<br />

Scale (GDS). Higher scores indicate more severe depression symptoms. The participants received<br />

reminiscence therapy for long-term care, which uses family photographs, scrapbooks, and personal<br />

memorabilia to stimulate memory and conversation among group members. Pre-treatment and posttreatment<br />

depression scores are given in the following table. Can we conclude, based on these data,<br />

that subjects who participate in reminiscence therapy experience, on average, a decline in GDS<br />

depression scores? Let a ¼ :01.<br />

Pre–GDS: 12 10 16 2 12 18 11 16 16 10 14 21 9 19 20<br />

Post–GDS: 11 10 11 3 9 13 8 14 16 10 12 22 9 16 18<br />

Source: Data provided courtesy of Ellen Davis Jones, N.D., R.N., FNP-C.<br />

7.4.2 Beney et al. (A-16) evaluated the effect of telephone follow-up on the physical well-being dimension<br />

of health-related quality of life in patients with cancer. One of the main outcome variables was<br />

measured by the physical well-being subscale of the Functional Assessment of Cancer Therapy<br />

Scale-General (FACT-G). A higher score indicates higher physical well-being. The following table<br />

shows the baseline FACT-G score and the follow-up score to evaluate the physical well-being during<br />

the 7 days after discharge from hospital to home for 66 patients who received a phone call 48–72<br />

hours after discharge that gave patients the opportunity to discuss medications, problems, and advice.<br />

Is there sufficient evidence to indicate that quality of physical well-being significantly decreases in<br />

the first week of discharge among patients who receive a phone call? Let a ¼ :05.<br />

Subject<br />

Baseline<br />

FACT-G<br />

Follow-up<br />

FACT-G<br />

Subject<br />

Baseline<br />

FACT-G<br />

Follow-up<br />

FACT-G<br />

1 16 19 34 25 14<br />

2 26 19 35 21 17<br />

3 13 9 36 14 22<br />

4 20 23 37 23 22<br />

5 22 25 38 19 16<br />

6 21 20 39 19 15<br />

7 20 10 40 18 23<br />

8 15 20 41 20 21<br />

9 25 22 42 18 11<br />

10 20 18 43 22 22<br />

11 11 6 44 7 17<br />

12 22 21 45 23 9<br />

13 18 17 46 19 16<br />

14 21 13 47 17 16<br />

15 25 25 48 22 20<br />

16 17 21 49 19 23<br />

17 26 22 50 5 17<br />

18 18 22 51 22 17<br />

19 7 9 52 12 6<br />

20 25 24 53 19 19<br />

21 22 15 54 17 20<br />

22 15 9 55 7 6<br />

(Continued )

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